Rairigh - Bence Funeral Home, Inc. of Indiana724-349-2000

Rairigh - Bence Funeral Home, Inc. of Indiana724-349-2000

Rairigh - Bence Funeral Home, Inc. of Indiana724-349-2000

Contact Us Now

Prearrange Your Funeral

Are you thinking about pre-planning your funeral? Pre-planning is the best way to choose how you're remembered, to ease the emotional and financial burden on your loved ones, to protect yourself from rising funeral costs, and to let your family know your final wishes.

Order Flowers

Ordering flowers from our site ensures that your order will reach us or the family in a timely manner, and your gesture of support will remain acknowledged in the Book of Memories™ for future generations. We only work with local florists so we can maintain the sense of urgency and quality of your selections. We thank you for helping to support the family during their time of need, and will fondly remember your kind gesture.

Order Tribute Gifts

We respect the sensitivity and dignity that comes with ordering tribute gifts from the funeral home. It is for this reason that we have attempted to design our online Sympathy Store with the utmost respect to the family and the deceased. We hope you find this service helpful during your time of need and would welcome any comments or suggestions you might have to help us serve our communities better.

Online At-Need Funeral Planning

You can get a head start on the process by completing as much of this online form as possible. We recognize you may not know everything right at this moment, but what you do know will be invaluable to your Funeral Director. Submitting this form will surely expedite the funeral arrangement process.

I. Biographical Information

Full Name:

Date of Death:

Address1:

Address2:

City Name:

State:

Zip Code:

Telephone Number:

(xxx-xxx-xxxx)

Email Address:

Date of Birth:

(month/day/year)

City of Birth:

State of Birth:

Highest Education Level:

Please select Grade/Years of Education completed:

Social Security Number:

For security reasons, we will contact you to complete the pre-arrangement.

Residence History:

Father's Name:

Father's City of Residence:

Mother's Name:

Mother's City of Residence:

Mother's Maiden Name:

Spouse's Name:

Spouse's Maiden Name:

Survivors' Names and Cities of Residence

Relatives Who Have Preceded In Death

Occupation:

Business Type:

Company Name:

Church Membership:

Lodge or Union Name:

II. Military Record

Veteran:

Branch of Service:

Serial Number:

Date Enlisted:

(month/day/year)

Date of Discharge:

(month/day/year)

Rank at Discharge:

Location of a Copy of Discharge (DD214):

Time of Military Service:

Military Honors at Graveside:

Flag Preference for Service:

III. Service Preferences

Type of Service:

Visitation Hours:

Casket:

Person in Charge of Arrangements:

Officiating Clergy:

Pallbearers:

Flower Preference:

Music Selection:

Jewelry:

Glasses:

Casket Preference:

Disposition:

Outer Container Preference: (for ground burial)

Cemetery Name:

Cemetery Location:

The cemetery property is in the name of:

Miscellaneous Notes and Instructions:

Please select one of the options below:

Please send me information

Please contact me to schedule an appointment

Please place my information on file

Our Services

We understand that it is not always possible to pay respects in person, & hope that this small token will help. You can search for your loved one using the form below.